Individual
BRADLEY JAMES RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
830 W MICHIGAN AVE, MARSHALL, MI 49068-1446
(269) 781-9822
(269) 781-9839
Mailing address
830 W MICHIGAN AVE, MARSHALL, MI 49068-1446
(269) 781-9822
(269) 781-9839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013156124
—
MI
Enumeration date
02/12/2009
Last updated
11/19/2015
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